Individual
BRANDON TODD PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHSC, CAA
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
3148 DICK WILSON BLVD APT 816, TALLAHASSEE, FL 32301-5152
(251) 213-4720
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1021
FL
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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